To the Bone (4 page)

“You can't be serious, Baird.”

“Take it easy. I'm trying to think like a lawyer. If somebody decides to cause trouble about this, we stand to get stomped. Lots of money, bad publicity. On top of everything else, it turns out she was an actress. Not big-time, but the papers are still going to eat it up.”

“What happened to that trust in my judgment?”

Baird ignored the question. “Her parents have been notified. They're on their way here from Sacramento.”

“I'll be available to talk to them.”

“I don't know if that's a good idea or not. But her fiancé's here now, waiting in one of the conference rooms.
He
wants to talk to you. With a hard-on, in case you're wondering.”

“Thanks for the warning.”

“Go home and get some sleep.”

“I doubt it,” Monks said. “I'll have my cell phone. Give me a call if you want to meet.” He paused at the doorway. “She did not die because of anything that did or didn't happen in the ER, Baird. She was dying when she came in, and we couldn't reverse it. There's a big difference.”

Monks was sure of that, as sure as it was possible for him to be. But he admitted that he would feel a hell of a lot better if he knew what had caused the DIC—knew beyond question that there was no other pathway he could have taken that might have headed off its attack and saved her life.

 

Passing through the outer office, Monks said to Baird's secretary: “There's someone waiting to see me?”

“Conference room three, Doctor.”

He stepped into the hall, trying to brace himself for the encounter. But there was no time. A man was waiting right there, pacing. He was in his early thirties, good-looking, with a deep suntan and dark moussed hair, wearing baggy slacks and a Hawaiian shirt. He seemed ill at ease, carrying himself with a sort of aggressive slouch. His eyes were angry, and it struck Monks that his refusal to wait in the conference room was a statement of defiance. But there was petulance in them, too.

Monks cleared his throat. “Are you here about Eden Hale?”

His gaze snapped swiftly to Monks. “Yeah.”

“I'm Dr. Monks.”

“Can you tell me—what—the hell—
happened
?” The words were spaced apart and emphasized.

Monks's hands tightened again. He made them relax.

“She was in very bad shape when she came in. Mister—”

He hesitated, as if his name was information he was not sure he should release. “Dreyer. Ray.”

“I'm very sorry,” Monks said. “We did everything we could.”

“I leave her home, perfectly fine, then boom, she's dead?”

“You were with her last night?” Monks asked, his interest sharpened.

Dreyer's eyes narrowed warily. It seemed that he did not like answering questions, period. Perhaps with good reason.

“Yeah.”

“When did you leave her?”

“I don't know, about seven. I had business.”

Eden Hale had been alone when the ambulance got her, at about three-thirty
A.M.
Dreyer's business had kept him out all night.

“She was all right then?” Monks asked.

“Well, her tits were sore. But yeah. She took some Valium and went to sleep.”

“Did you talk to her after that?”

“No. I came back to her apartment this morning. She was gone. The building super told me the ambulance was there. Hey, is this important?”

“It would help if we could pinpoint when the sickness started,” Monks said.

“Help how?” Dreyer said, abruptly assertive, as if he was trying to gain back what he had given away. “You done asking questions? Because you still haven't answered mine. What happened to her?”

“The short answer is, I don't know,” Monks said wearily. “Maybe the coroner's report will tell us.”

“If you'd
known
what it was, could you have saved her?”

“That's impossible to answer.”

“Is it something you
should
have known?” Dreyer's voice was rising, his chin thrusting forward. “That another doctor would have?”

Monks shook his head. “I'm very sorry,” he said again, and turned to go.

“I put
years
into her career,” Dreyer yelled after him. “She was just taking off, and now she's fucking
dead.
”

Monks stopped walking, turned back, and almost gave in to the urge to drop his daypack and punch Dreyer in the face.

Instead, he said, “I hope that business that kept you out all night was important, Ray. Because if she'd gotten to the ER a few hours earlier, she'd have made it.”

Dreyer's belligerent stare shifted away—just for a second, but it was enough.

This time, Monks took the stairs, walking the six flights down to ground level with even, unhurried steps—an absurd attempt to regain control of a situation that was rapidly slipping out of hand.

M
onks was not surprised to find the offices and clinic of Dr. D. Welles D'Anton located in a premium area of the city, on the eastern edge of St. Francis Wood. The building looked like it had once been a gracious residence—three stories of post-Victorian architecture, with a sandstone exterior, red-tiled roof, and a large private yard that included a eucalyptus grove and a flowing fountain. The maintenance was pristine. There was no sign, and no indication that the place was a medical facility.

The freshly asphalted parking lot held a dozen vehicles, most of them luxury class: BMW, Mercedes, Lexus, and—in a space separated from the rest, like a stall for a prized stallion—one burnished gold Jaguar XJS, with a personalized license plate that read:
RODIN
. That would be D'Anton's.

His nurse had never called the hospital back about Eden Hale's records. Presumably, everything was fine. But Monks wanted to check for himself.

He parked his poor-relation '74 Ford Bronco and walked up the stone steps. He was wearing an open-necked shirt and jeans, his usual ER outfit. He pushed open the heavy oak door and stepped inside.

Most of the original architecture was intact here, too. The fifteen-foot ceiling was ornate plaster, supported by groined pilasters, and the many-paned windows reached from the floor almost to the room's full height. There was a huge chandelier, although the actual lighting was concealed and had a pinkish cast, flattering to complexions. The carpet was thick enough to give his feet the feel of sinking in. Monks guessed that there had once been a ceremonious curved staircase with a balustrade, and probably a grand piano. Now the room's central feature was a large admissions desk that looked to be of genuine polished ebony. There was no one behind it at the moment.

The room had another striking addition that would not have been found in its century-old elegance—an eye-level collage of photographs along one wall, stretching roughly twenty feet. Monks walked closer and studied the images with his hands clasped behind his back, as if he were at a museum. They were all of beautiful women, and all of top professional quality. Some were close-ups of faces. Others were full-body, with the models artfully draped in diaphanous costumes or nude.

He had seen some of those faces; they belonged to well-known actresses and models. Presumably, all of them had been patients of D'Anton. The display was a brilliant tactic, a fabulous advertisement to the women who came here craving beauty.
Look!
it shouted.
This is what you can become.

But Monks got the impression that it was more than that. It was a shrine, lavished with devotional images of the lovely sylphs who were sculpted to perfection by their medical Pygmalion. D'Anton considered himself an artist—the
RODIN
license plate said it all—who made attractive women beautiful and beautiful women sublime. He curved noses, lifted faces, injected Botox, rejuvenated skin, and shaped breasts that begged to be cupped by adoring hands. But he did not do tummy tucks or major liposuction. If you were fat, you went to somebody else.

Monks started to realize that he was not alone after all. Several private cubicles at this end of the room were divided off by tasteful, Japanese-style screens. He caught glimpses of well-dressed women sitting inside them, waiting for treatment or for conferences with D'Anton. A couple of them were watching him over the tops of their magazines. He nodded uncomfortably, toward no one in particular, and moved back toward the desk. He had begun to notice that the air had a faintly cloying scent, from fresheners or perhaps a years-old accumulation of perfumes.

After another minute or so, a door at the rear of the room opened. Monks got a glimpse of an area that looked more like an actual office, with two clerks working at smaller desks.

Then another woman stepped into the doorway. She was wearing a tight short skirt and sleeveless top, with her dark hair pulled back into a chignon. Monks got the instant certainty of genuine, world-class beauty. She was in profile, with something cupped in the palm of one hand, held close to her face. A makeup compact mirror, Monks thought. Her other hand rose, forefinger lightly smoothing her lipstick at one corner of her mouth.

She snapped the compact closed and turned. The sight of Monks apparently startled her so much that she dropped it. He moved forward to pick it up, but she waved him away and stooped to get it herself, long calves flexing with taut grace.

When she stood again, she stalked to the desk, ignoring him until she had assumed her position of authority behind its center. Then she folded her arms and smiled briskly. She was tall, at least five foot ten, and about forty, with age beginning to slacken her perfection just a bit. A gold-etched placard on the desk gave her name:
GWEN BRICKNELL
.

By now, Monks had recognized her as the woman beckoning on the cover of D'Anton's informational pamphlet.

“And what can I do for you?” she said.

Monks handed her a business card—a real one, not one of the phonies he sometimes used for investigation work—identifying him as an M.D. and Fellow of the American College of Emergency Physicians.

“I'd like to see Dr. D'Anton,” he said. “It won't take long.”

“Do you have an appointment?”

“No.”

Her smile brightened fiercely. “I'm afraid it's impossible. If you'd like to fill out an application, we'll try to schedule you. But I have to warn you, our waiting list is over a year long.”

Monks said, “I'm not here as a patient. I think you and I should have a word in private.”

“Really?” she said skeptically.

He nodded toward the women in the waiting room, whose ears were almost visibly perked up. “Really.”

Gwen Bricknell's head tilted in cool consideration. Then she stalked, with that same imperious stride, to the front entrance and out onto the stone porch. Monks followed.

“This is about one of your patients, a young woman named Eden Hale,” he said. “Your office has been informed of her death.”

Her face changed swiftly, eyes going wary, mouth opening a little.

“Yes?” she said.

“I work at the Emergency Room at Mercy Hospital. I attended her when she died.”

“That was
you
?”

“That was me,” Monks said.

Her gaze had turned accusing, but Monks held it. Then her head moved with a sudden little tremor, and her eyes lowered.

“It's terrible,” she murmured. “How—did she die?”

“Unpleasantly,” Monks said. “Her circulatory system shut down, and she bled to death.”

“What on earth could have caused that?”

“I'd like to find out, Ms. Bricknell.” She looked up again sharply, perhaps at his use of her name. “She had a breast surgery yesterday.”

One of Gwen's hands rose to her heart, or perhaps in an unconscious gesture to protect her own breasts.

“Yes, I remember Eden,” she said. “Because of her name, mainly, it's so unusual. But she was fine when she left here.”

“I'm sure she was. But the death was bizarre, and it's standard procedure to check out any recent surgery. I'd like to get her history, to see if that sheds any light on it. And to talk to Dr. D'Anton.”

A car came pulling into the drive, a gunmetal gray Mercedes with smoked windows. Monks could just make out the driver's chauffeur cap. Gwen glanced at the vehicle, her mouth twisting quickly.

“I'll be frank with you, Doctor,” she said. “He's very upset about this. He's canceled all his afternoon appointments. I'm not sure he'd want to talk to you.”

“Ms. Bricknell, he called Mercy Hospital this morning, accusing the Emergency Room of being responsible for Eden Hale's death. He doesn't know a damned thing about what actually happened. And for the record, there's a chance that she came out of the surgery with an infection that
did
kill her. Tell him that, will you?”

The chauffeur was opening the Mercedes' rear door. A graceful woman wearing a wide-brimmed straw hat, scarf, and large sunglasses stepped out—another incognito actress or model or trophy wife.

“Someone didn't get the message,” Gwen said with quiet annoyance. “Would you excuse me just a moment?” She hurried down the stone steps and met the approaching woman. Monks watched her explain that the appointment was canceled. Her body language, solicitous yet firm, made it subtly clear that the patient was all-important but that Gwen Bricknell ran this show. Sunlight and shadow played on her finely muscled golden-skinned arms as she gestured, and accentuated the hollows beneath her cheekbones as she talked and smiled. He wondered if her brittle energy was drug-induced.

The woman with the straw hat got back into the Mercedes. Gwen returned to Monks. Her eyes were cool again. Whatever control might have faltered for a moment, she had regained.

“I'll go tell him,” she said. “I can't promise he'll see you.” He followed her back inside. She disappeared into the rear office, closing the door behind her.

Monks walked over to the photo collage again. There was no doubt about it—several of the shots, both facial and nudes, were of a younger Gwen Bricknell, displaying her perfection in poses that walked the edge between art and erotica.

He turned back toward the desk and stopped abruptly, startled. A nurse was standing right behind him, close enough to touch. He had not heard her make a sound approaching—had had no idea that she was there. Her name tag said
PHYLLIS QUIRES, RN.
She was sturdily built, with a Dutchboy haircut and not much expression, except for an accusing element in her gaze. He realized that she had caught him red-handed, leering at the photos. He was a voyeur, defiling a sanctuary that was not for men.

“I'm waiting for Ms. Bricknell,” he said.

She looked dissatisfied with his explanation, but said, “I'm sure you'll be more comfortable in here, then.” She ushered him to one of the screened-off cubicles.

The space contained two leather-upholstered office chairs and a glossy black lacquered table, with a large oval mirror and several photo albums arranged in a tasteful spread. Monks flipped through them. They were filled with before and after photos, not artful like the collage on the wall outside, but a more down-to-earth look at what clients might expect—reshaped noses, vanished wrinkles, enhanced and desagged breasts, tightened buttocks, bee-stung lips. It was another powerful advertisement for cosmetic surgery. The results were remarkable.

Out in the parking lot, a car door slammed. Monks glanced through a window and saw a woman getting out of a white SUV. She hurried toward the clinic's door, then across the reception room. She looked distraught. He assumed she was another patient who had not received a cancellation notice, perhaps agitated because she was late. But he saw with surprise that she went straight to the rear office door and pushed it open.

He could not hear exactly what she said, but he caught the name “Eden.” Her voice was urgent, shaking.

Gwen Bricknell appeared in the doorway, reaching out to grip the newcomer's shoulder. It was not a comforting gesture—more like a shake. She made a harsh
shh
sound.

Then she looked over at Monks and said, in a louder, formal voice, “Dr. Monks? He'll see you now.”

Monks walked to them, deciding to push it.

“I couldn't help overhearing,” he said to the second woman. “I tended Eden Hale in the Emergency Room. Did you know her?”

Her mouth opened in surprise, or even shock. But whatever she might have said was cut off by Gwen's quick words.

“Like I told you, Doctor, Eden was just another patient. I'm sorry, I didn't mean that to sound harsh, but it's true. Julia's concerned because this might reflect on Dr. D'Anton. She's his wife.”

Monks sharpened his appraisal of Julia D'Anton. She was in her mid-forties, with a bohemian look—her long thick red-brown hair was pulled back in a careless braid, and she was wearing baggy pants and a blue work shirt with rolled-up sleeves, as if she had been gardening. But she had the same indefinable air of superiority as the other women he had seen here, and her huge diamond wedding and engagement rings stood out from across the room. She was handsome rather than beautiful, with a big-boned frame, large strong hands, and a face that D'Anton had obviously not reshaped. Right now, it looked very unhappy.

“There's no reflection on Dr. D'Anton,” Monks said, and thought,
at least yet.
“I just came to straighten out a misunderstanding.”

Gwen's smile looked brittle to the breaking point. She touched Julia's shoulder again, easing her away from the door.

“We don't want to keep Dr. Monks,” she said. “He must be very busy.”

Gwen led him down a hallway that had several doors opening into procedure rooms. They passed a maintenance man, with dozens of keys on a belt ring and a box of tools on the floor beside him, taking the cover off a thermostat.

“Todd, you do know we're closing early,” Gwen said.

“Yes, ma'am,” he said cheerfully. “That'll give me a chance to check out the air-conditioning.”

The door at the hallway's end led into the clinic proper—the sanctum sanctorum, domain of the high priest. Most plastic surgeons worked in partnerships, but D'Anton worked alone. Gwen pointed to the door with exaggerated politeness, then turned on her heel and walked away.

Monks stepped inside. Here, the walls were sterile white, lined with cabinets of medical supplies. A container of clear liquid, kept on ice, sat on one table, with a box of sterile-wrapped syringes beside it—Botox, probably.

D'Anton was waiting. He was in his late forties, of medium height, trim, and very dapper. His hands were perfectly manicured, but they were surprisingly heavy and thick-knuckled—working-class hands. His left wrist was encircled by a gold Rolex with a cerulean blue face. He wore a tailored white lab coat and expensive wool slacks with knife-edge creases, cuffs breaking perfectly over tasseled leather shoes. He looked pale, but his manner was precise, assured, and impatient. He did not offer a handshake. That was fine with Monks.